MedPath

Vancomycin

Generic Name
Vancomycin
Brand Names
Firvanq, Vancocin
Drug Type
Small Molecule
Chemical Formula
C66H75Cl2N9O24
CAS Number
1404-90-6
Unique Ingredient Identifier
6Q205EH1VU
Background

Antibacterial obtained from Streptomyces orientalis. It is a glycopeptide related to ristocetin that inhibits bacterial cell wall assembly and is toxic to kidneys and the inner ear.

As of January 29 2018, CutisPharma's Firvanq is the only FDA approved vancomycin oral liquid treatment option available for the the treatment of Clostridium difficile associated diarrhea and enterocolitis caused by Staphylococcus aureus, including methicillin-resistant strains [LP1196]. Such an oral liquid formulation is expected to make Clostridium difficile associated diarrhea therapy more accessible in comparison to previously available specialty compounding products [LP1196].

Indication

Administered intravenously, vancomycin is indicated in adult and pediatric patients for the treatment of septicemia, infective endocarditis, skin and skin structure infections, bone infections, and lower respiratory tract infections. Administered orally, vancomycin is indicated in adult and pediatric patients for the treatment of Clostridium difficile-associated diarrhea and for enterocolitis caused by Staphylococcus aureus (including methicillin-resistant strains).

Associated Conditions
Clostridium Difficile Associated Diarrhea (CDAD), Enterocolitis caused by Staphylococcus aureus, Infection caused by staphylococci, Severe Staphylococcal infection

Microbiome Effect of Omadacycline on Healthy Volunteers

Phase 1
Completed
Conditions
Healthy Volunteers
Interventions
First Posted Date
2023-09-08
Last Posted Date
2025-03-25
Lead Sponsor
University of Houston
Target Recruit Count
32
Registration Number
NCT06030219
Locations
🇺🇸

University of Houston, Houston, Texas, United States

First Time Right of Vancomycin

Not Applicable
Not yet recruiting
Conditions
Vancomycin
Pharmacokinetics
Interventions
First Posted Date
2023-07-27
Last Posted Date
2023-07-27
Lead Sponsor
Erasmus Medical Center
Target Recruit Count
134
Registration Number
NCT05964114

Intra-wound Vancomycin Powder for Prevention of Surgical Site Infection Following Spinal Surgery

Phase 3
Recruiting
Conditions
Infection
Interventions
First Posted Date
2023-07-25
Last Posted Date
2024-11-27
Lead Sponsor
Rabin Medical Center
Target Recruit Count
363
Registration Number
NCT05959603
Locations
🇮🇱

Rabin Medical Center, Petah tikva, Israel

Vancomycin in Primary Sclerosing Cholangitis in Italy

Phase 2
Recruiting
Conditions
Liver and Intrahepatic Bile Duct Disorder
Primary Sclerosing Cholangitis
IBD
Interventions
Other: Placebo
First Posted Date
2023-05-25
Last Posted Date
2023-07-03
Lead Sponsor
University of Milano Bicocca
Target Recruit Count
84
Registration Number
NCT05876182
Locations
🇮🇹

Fondazione IRCCS San Gerardo dei Tintori, Monza, Monza E Brianza, Italy

Vancomycin and Tobramycin Powder Use in Acute Open Fractures

Early Phase 1
Completed
Conditions
Infections
Interventions
Drug: Cephalosporin or clindamycin/vancomycin antibiotics..
First Posted Date
2023-05-08
Last Posted Date
2024-12-20
Lead Sponsor
University of Utah
Target Recruit Count
10
Registration Number
NCT05849090
Locations
🇺🇸

University of Utah Orthopaedic Center, Salt Lake City, Utah, United States

Continuous vs. Intermittent Infusion Vancomycin

Phase 4
Recruiting
Conditions
Vancomycin
Interventions
First Posted Date
2023-04-21
Last Posted Date
2025-01-06
Lead Sponsor
Aaron Cook
Target Recruit Count
56
Registration Number
NCT05823116
Locations
🇺🇸

University of Kentucky, Lexington, Kentucky, United States

Study of Aerosolized Antibiotics and Pembrolizumab in Advanced Non-small Cell Lung Cancer

Phase 1
Recruiting
Conditions
Advanced Non Small Cell Lung Cancer
Interventions
First Posted Date
2023-03-21
Last Posted Date
2025-04-22
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
20
Registration Number
NCT05777603
Locations
🇺🇸

National Institutes of Health Clinical Center, Bethesda, Maryland, United States

Intramedullary Calcium Sulfate Antibiotic Depot

Phase 3
Recruiting
Conditions
Osteomyelitis Tibia
Open tíbia Fracture
Tibial Fractures
Interventions
Other: Standard Intramedullary Nail
First Posted Date
2023-03-13
Last Posted Date
2025-02-20
Lead Sponsor
Wake Forest University Health Sciences
Target Recruit Count
497
Registration Number
NCT05766670
Locations
🇺🇸

Atrium Health Cabarrus, Concord, North Carolina, United States

🇺🇸

Pennsylvania State University, Hershey, Pennsylvania, United States

🇺🇸

University of Kentucky, Lexington, Kentucky, United States

and more 7 locations

Lyophilized Fecal Microbiome Transfer vs. Vancomycin Monotherapy for Primary Clostridioides Difficile Infection

Not Applicable
Recruiting
Conditions
Clostridioides Difficile Infection
Interventions
Combination Product: Lyophilized fecal microbiome transfer
First Posted Date
2023-02-02
Last Posted Date
2024-04-10
Lead Sponsor
Rambam Health Care Campus
Target Recruit Count
196
Registration Number
NCT05709184
Locations
🇭🇺

University of Debrecen, Debrecen, Hungary

🇮🇱

Rambam Health Care Campus, Haifa, Israel

🇬🇧

Imperial College of London, London, United Kingdom

and more 3 locations

LocalVancomycinPowderToPreventPeriprostheticJointInfection.

Phase 2
Not yet recruiting
Conditions
Arthroplasty Complications
Periprosthetic Fracture of Hip
Interventions
Procedure: Total knee or total hip arthroplasty
First Posted Date
2023-01-26
Last Posted Date
2023-02-10
Lead Sponsor
Assiut University
Target Recruit Count
174
Registration Number
NCT05697965
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